| NPI | 1992980247 |
|---|---|
| Other Name | 9030 TRAIL GUIDES |
| Entity Type | Organization |
| Authorized Contact | ADRIANA TORRES-O'CONNOR President And Chief Executive Offic 215-751-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: PA 130930) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PA 130930) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: PA 1309360) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: PA 130930) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2019-03-05 |